| NPI | 1427461565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 28832) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NE 29229) |
| 207R00000X Internal Medicine (Licence: NE 29229) | |
| 207R00000X Internal Medicine (Licence: NV 28832) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2026-04-09 |